AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs
Abstract Patient‐specific implant placement in the case of pelvic tumour resection is usually a complex procedure, where the planned optimal position of the prosthesis may differ from the final location. This discrepancy arises from incorrect or differently executed bone resection and improper final...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-12-01
|
| Series: | Healthcare Technology Letters |
| Subjects: | |
| Online Access: | https://doi.org/10.1049/htl2.12112 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850132582730039296 |
|---|---|
| author | Amaia Iribar‐Zabala Tanya Fernández‐Fernández Javier Orozco‐Martínez José Calvo‐Haro Rubén Pérez‐Mañanes Elena Aguilera‐Jiménez Carla de Gregorio‐Bermejo Rafael Benito Alicia Pose‐Díez‐de‐la‐Lastra Andoni Beristain‐Iraola Javier Pascau Mónica García‐Sevilla |
| author_facet | Amaia Iribar‐Zabala Tanya Fernández‐Fernández Javier Orozco‐Martínez José Calvo‐Haro Rubén Pérez‐Mañanes Elena Aguilera‐Jiménez Carla de Gregorio‐Bermejo Rafael Benito Alicia Pose‐Díez‐de‐la‐Lastra Andoni Beristain‐Iraola Javier Pascau Mónica García‐Sevilla |
| author_sort | Amaia Iribar‐Zabala |
| collection | DOAJ |
| description | Abstract Patient‐specific implant placement in the case of pelvic tumour resection is usually a complex procedure, where the planned optimal position of the prosthesis may differ from the final location. This discrepancy arises from incorrect or differently executed bone resection and improper final positioning of the prosthesis. In order to overcome such mismatch, a navigation solution is presented based on an augmented reality application for HoloLens 2 to assist the entire procedure. This involves placing patient‐specific instruments for tumour resection guidance in the supraacetabular, ischial and symphysial regions, performing the osteotomy and assisting within the adequate positioning of the implant. The supraacetabular patient‐specific instrument and the prosthesis included optical markers attached to them to be used as reference for surgical guidance. The proposed application and workflow were validated by two clinicians on six phantoms, designed and fabricated from different cadaver specimens. The accuracy of the solution was evaluated by comparing the final position after navigation with the position defined in the surgical plan. Preliminary assessment shows promising results for the guidance system, with positive clinician feedback. |
| format | Article |
| id | doaj-art-3ce8bfbb225c42ac9d55e16da051c463 |
| institution | OA Journals |
| issn | 2053-3713 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Healthcare Technology Letters |
| spelling | doaj-art-3ce8bfbb225c42ac9d55e16da051c4632025-08-20T02:32:11ZengWileyHealthcare Technology Letters2053-37132024-12-0111640241010.1049/htl2.12112AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIsAmaia Iribar‐Zabala0Tanya Fernández‐Fernández1Javier Orozco‐Martínez2José Calvo‐Haro3Rubén Pérez‐Mañanes4Elena Aguilera‐Jiménez5Carla de Gregorio‐Bermejo6Rafael Benito7Alicia Pose‐Díez‐de‐la‐Lastra8Andoni Beristain‐Iraola9Javier Pascau10Mónica García‐Sevilla11Digital Health and Biomedical Technologies, Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia‐San Sebastian SpainServicio de Cirugía Ortopédica y Traumatología Hospital General Universitario Gregorio Marañón Madrid SpainServicio de Cirugía Ortopédica y Traumatología Hospital General Universitario Gregorio Marañón Madrid SpainServicio de Cirugía Ortopédica y Traumatología Hospital General Universitario Gregorio Marañón Madrid SpainServicio de Cirugía Ortopédica y Traumatología Hospital General Universitario Gregorio Marañón Madrid SpainInstituto de Investigación Sanitaria Gregorio Marañón Madrid SpainInstituto de Investigación Sanitaria Gregorio Marañón Madrid SpainDigital Health and Biomedical Technologies, Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia‐San Sebastian SpainDepartamento de Bioingeniería Universidad Carlos III de Madrid Leganés SpainDigital Health and Biomedical Technologies, Vicomtech Foundation Basque Research and Technology Alliance (BRTA) Donostia‐San Sebastian SpainDepartamento de Bioingeniería Universidad Carlos III de Madrid Leganés SpainDepartamento de Bioingeniería Universidad Carlos III de Madrid Leganés SpainAbstract Patient‐specific implant placement in the case of pelvic tumour resection is usually a complex procedure, where the planned optimal position of the prosthesis may differ from the final location. This discrepancy arises from incorrect or differently executed bone resection and improper final positioning of the prosthesis. In order to overcome such mismatch, a navigation solution is presented based on an augmented reality application for HoloLens 2 to assist the entire procedure. This involves placing patient‐specific instruments for tumour resection guidance in the supraacetabular, ischial and symphysial regions, performing the osteotomy and assisting within the adequate positioning of the implant. The supraacetabular patient‐specific instrument and the prosthesis included optical markers attached to them to be used as reference for surgical guidance. The proposed application and workflow were validated by two clinicians on six phantoms, designed and fabricated from different cadaver specimens. The accuracy of the solution was evaluated by comparing the final position after navigation with the position defined in the surgical plan. Preliminary assessment shows promising results for the guidance system, with positive clinician feedback.https://doi.org/10.1049/htl2.12112augmented realitybiomedical imagingcomputer visionholographyprostheticssurgery |
| spellingShingle | Amaia Iribar‐Zabala Tanya Fernández‐Fernández Javier Orozco‐Martínez José Calvo‐Haro Rubén Pérez‐Mañanes Elena Aguilera‐Jiménez Carla de Gregorio‐Bermejo Rafael Benito Alicia Pose‐Díez‐de‐la‐Lastra Andoni Beristain‐Iraola Javier Pascau Mónica García‐Sevilla AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs Healthcare Technology Letters augmented reality biomedical imaging computer vision holography prosthetics surgery |
| title | AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs |
| title_full | AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs |
| title_fullStr | AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs |
| title_full_unstemmed | AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs |
| title_short | AR‐assisted surgery: Precision placement of patient specific hip implants based on 3D printed PSIs |
| title_sort | ar assisted surgery precision placement of patient specific hip implants based on 3d printed psis |
| topic | augmented reality biomedical imaging computer vision holography prosthetics surgery |
| url | https://doi.org/10.1049/htl2.12112 |
| work_keys_str_mv | AT amaiairibarzabala arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT tanyafernandezfernandez arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT javierorozcomartinez arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT josecalvoharo arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT rubenperezmananes arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT elenaaguilerajimenez arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT carladegregoriobermejo arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT rafaelbenito arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT aliciaposediezdelalastra arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT andoniberistainiraola arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT javierpascau arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis AT monicagarciasevilla arassistedsurgeryprecisionplacementofpatientspecifichipimplantsbasedon3dprintedpsis |